Bay Ridge Services Inc

Primary specialty

CounselorTaxonomy code 101Y00000X

Legal business name

BAY RIDGE SERVICES INC

Practice address

2781 Ocean Ave
Suite BB
Brooklyn, NY 11229-4749

Phone

(718) 648-0705

NPI assigned

Mar 9, 2010

Last updated

Mar 9, 2010By the provider in NPPES

Organization subpart

No

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name

Kevin ClarkNPI 1609934397

Title

Director

Phone

(718) 648-0705

Specialties & licenses 1

Addresses

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Kevin John Clark

  • Mental Health Counselor
  • Brooklyn, NY
  • NPI 1609934397
  Authorized official Same address or phone
• Joel Sambursky, PH.D.

  • Clinical Psychologist
  • Brooklyn, NY
  • NPI 1164530820
  NPD (past)

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1268092800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1268092800000",
    "number": "1790008407",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2781 OCEAN AVE",
            "address_2": "SUITE BB",
            "city": "BROOKLYN",
            "state": "NY",
            "postal_code": "112294749"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2781 OCEAN AVE",
            "address_2": "SUITE BB",
            "city": "BROOKLYN",
            "state": "NY",
            "postal_code": "112294749",
            "telephone_number": "718-648-0705"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BAY RIDGE SERVICES INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2010-03-09",
        "last_updated": "2010-03-09",
        "status": "A",
        "authorized_official_last_name": "CLARK",
        "authorized_official_first_name": "KEVIN",
        "authorized_official_title_or_position": "DIRECTOR",
        "authorized_official_telephone_number": "718-648-0705"
    },
    "taxonomies": [
        {
            "code": "101Y00000X",
            "taxonomy_group": "",
            "desc": "Counselor",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Bay Ridge Physical Therapy PC
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• Bay Ridge Physicians Diagnostic Services
• Bay Ridge Primary Care
• Bay Ridge RX Inc (Pill RX Pharmacy)
• Bay Ridge Skin and Cancer Dermatology, PC
• Bay Ridge Sleep Experts Lab, Inc
• Bay Ridge Smiles
• Bay Ridge Specialty Pharmacy, LLC
• Bay Ridge Sunset Park Dialysis Center

• Counselor in Brooklyn, NY
• Providers in Brooklyn, NY by specialty
• Counselor in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 9, 2010; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.